Neurological Disorders

Neurological Disorders Articles

A 72-year-old man with a history of diabetes, hypertension, and heavy smoking presented to the emergency department with left leg pain and altered mental status of about 1 week’s duration.
Most patients with Bell palsy regain normal facial function within 3 weeks—even those who do not receive treatment. The severity of the palsy at 2 weeks after symptoms occur indicates the likelihood of long-term sequelae. An improvement in symptoms 1 to 2 weeks after their onset is a good predictor...
Insomnia is common among older adults, who should routinely be screened for sleep-related problems. When patients experience insomnia, consider other treatable sleep disorders, such as obstructive sleep apnea, restless legs syndrome, and periodic limb movement disorder. Keep in mind that comorbid...
Although estimates of its prevalence vary widely, essential tremor is one of the most common neurologic disorders in adults.1,2 It may be up to 20 times more prevalent than Parkinson disease.3
A 47-year-old woman presented with altered mental status and slurred speech. Past medical history included hypertension, multiple strokes, and alcohol- induced pancreatitis. The patient frequently used cocaine. Initial blood pressure was 198/116 mm Hg. A urine drug screen was positive for cocaine....

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Bell's Palsy

  • Bell's Palsy
    For 36 hours, a 75-year-old woman had experienced weakness of the right side of the face. She was unable to close the right eye and drooled from the right side of the mouth.
  • Hypertension in a Toddler With Bell Palsy
    A 22-month-old boy was brought to the emergency department for evaluation of poor appetite, vomiting, and subjective weight loss of 3 months’ duration.
  • 3-Year-Old with Facial Palsy After an Ear Infection
    The mother of this 3-year-old boy noticed that his smile was asymmetric when he awoke that morning. He had been seen 3 days previously for left ear discomfort, sore throat, and a low-grade fever.
  • What Is the Cause of This Child's Facial Asymmetry?
    This 7-year-old girl has had a sore throat for the past 3 days. She reports that only the right side of her mouth moves when she talks and she is unable to completely close the left eye.